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11 questions found

An 81-year-old man had a large left middle cerebral artery infarct ten days ago. He cannot swallow safely and can neither understand nor communicate a decision.…

Acute Care · Pre-internship · middle twist

You are the intern covering a medical ward at 2 am. A 61-year-old woman with cirrhosis due to hepatitis C is admitted with hepatic encephalopathy; she is drowsy…

Acute Care · Pre-internship · niche

A 52-year-old man with alcohol dependence is brought to the emergency department after being found confused at home. He has had several days of vomiting and is…

Emergency and Toxicology · Pre-internship · common

A 46-year-old man with longstanding alcohol dependence has eaten little during two weeks of vomiting. He is inattentive, walks with a broad-based gait and repea…

General Practice and Population Health · Clinical rotations · common

A 24-year-old woman presents 30 hours after taking repeated doses of paracetamol for a dental infection. She estimates taking 10–12 g daily for four days; her p…

Emergency and Toxicology · Clinical rotations · common

A 24-year-old woman at 10 weeks of pregnancy has vomited repeatedly for three weeks and has lost 7 kg. She is alert, with a pulse of 104 beats/minute and blood…

Obstetrics and Gynaecology · Clinical rotations · common

A 35-year-old woman at 31 weeks’ gestation has six weeks of low mood, guilt and early-morning waking. During the past week she has stopped eating, believes her…

Psychiatry and Mental Health · Clinical rotations · common

A 17-year-old girl is admitted for nutritional rehabilitation. She weighs 39 kg with a height of 168 cm, having lost 15 kg over six months through severe dietar…

Psychiatry and Mental Health · Clinical rotations · common

A 3-year-old boy is brought to the emergency department after falling from a low-height chair at home. He has swelling and tenderness over his left forearm. X-r…

Year 4 · Clinical rotations · common

A 45-year-old woman is brought to the emergency room after developing diffuse skin tenderness and blistering. Her symptoms initially started with fever and mala…

Year 4 · Pre-internship · middle twist

A 72-year-old man with Alzheimer’s disease is brought to the emergency room by his daughter due to confusion and lethargy over the past few days. His daughter s…

Year 4 · Pre-internship · middle twist